MELISSA CHRISTINE LEBOUTON (NPI# 1144471970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144471970 |
Entity Type | Individual |
Full Name | MELISSA CHRISTINE LEBOUTON |
Credential | PAC |
Practice Address |
14418 W Meeker Blvd Suite 110 Sun City West AZ 85375-5283 |
Mailing Address |
6771 W Miner Trl Peoria AZ 85383-3008 |
Practice Telephone | 6235849500 |
Practice Fax Number | 6235844945 |
Mailing Telephone | 6237488373 |
Mailing Fax Number | 6237488373 |
Enumeration Date | 2008-10-10 |
Last Update Date | 2011-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4327 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | LICENSE | 4327 | 01 |
Street Address |
14418 W MEEKER BLVD SUITE 110 |
City | SUN CITY WEST |
State | AZ |
Zip Code | 85375-5283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851388896 | Frank Fara | Obstetrics & Gynecology | 14418 W Meeker Blvd, Ste. 304, Sun City West, AZ 85375-5283 | 2005-10-04 |
1598370207 | Nicholas Sapien | Physical Therapist | 14418 W Meeker Blvd, Building B, Suite 301, Sun City West, AZ 85375-5292 | 2020-09-10 |
1801441209 | Danielle Rose Greenfield | Physical Therapist | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2019-08-03 |
1184132391 | Anna Retrosi Thomas | Occupational Therapist | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2018-01-22 |
1558879783 | Kimberly Y Steward | Physical Therapist | 14418 W Meeker Blvd, Bldg B, Ste 301, Sun City West, AZ 85375 | 2018-01-22 |
1699282178 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 | 2018-01-05 |
1356653281 | Melanie Violand Dpm Pllc | Durable Medical Equipment & Medical Supplies | 14418 W Meeker Blvd, Ste 207, Sun City West, AZ 85375-5283 | 2010-07-08 |
1912218256 | Melanie Violand Dpm Pllc | Podiatrist | 14418 W Meeker Blvd, Bldg B, Ste 207, Sun City West, AZ 85375-5283 | 2010-07-01 |
1336479468 | Thomas Bethune | Pharmacist | 14418 W Meeker Blvd, Suite 101, Sun City West, AZ 85375-5283 | 2010-01-13 |
1588997357 | Amanda C Powers | Physician Assistant | 14418 W Meeker Blvd, Suite 210, Sun City West, AZ 85375-5291 | 2009-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801380662 | Melissa Darlene Ramirez | Nurse Practitioner | 14418 W Meeker Blvd Ste 100, Sun City West, AZ 85375 | 2018-06-15 |
1740798974 | Warner Steward | Physical Therapist | 14418 W Meeker Blvd, Ste 301, Bldg B, Sun City West, AZ 85375 | 2018-01-22 |
1154838589 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 14419 W Meeker, Sun City West, AZ 85375 | 2018-01-08 |
1467978320 | Nicole E Oppenheimer | Physician Assistant | 14416 W. Meeker Blvd, Ste 301, Sun City West, AZ 85375 | 2017-08-22 |
1134642838 | Jeffrey David Atkins | Physician Assistant | 14502 W Meeker Boulevard, Sun City West, AZ 85375 | 2017-07-25 |
1417486465 | Iora Senior Health, Inc | Internal Medicine | 13940 W. Meeker Blvd., Suite 101, Sun City West, AZ 85375 | 2017-06-05 |
1710224316 | Arizona Audiology & Hearing, Inc. | Audiologist-Hearing Aid Fitter | 13540 W. Camino Del Sol #20, Sun City West, AZ 85375 | 2013-01-16 |
1215280151 | Laura A L'heureux | Internal Medicine | 13949 W. Meeker Blvd, Suite D, Sun City West, AZ 85375 | 2012-10-16 |
1073872859 | Keith Arbuckle | Podiatrist | 13949 W Meeker Blvd Ste B, Sun City West, AZ 85375 | 2012-05-14 |
1285936336 | A-z Denture Center | Dentist | 19082 N. Rh Johnson Blvd, Sun City West, AZ 85375 | 2010-11-23 |
Find all providers in zip 85375 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467978320 | Nicole E Oppenheimer | Physician Assistant | 14416 W. Meeker Blvd, Ste 301, Sun City West, AZ 85375 | 2017-08-22 |
1194275099 | Leslie Schulz | Physician Assistant | 14418 W Meeker Blvd Ste 210, Sun City West, AZ 85375-5291 | 2016-10-04 |
1598248726 | Daniel William Ohmes | Physician Assistant | 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2018-09-13 |
1124470075 | Stephanie Dowdell | Physician Assistant | 14502 W Meeker Blvd, Banner Del E. Webb Emergency Dept, Sun City West, AZ 85375 | 2016-07-04 |
1346625183 | Courtney Connolly | Physician Assistant | 14502 W Meeker Blvd, Banner Del E. Webb Emergency Dept, Sun City West, AZ 85375-5282 | 2015-07-22 |
1558765891 | Evan Dayne Ivie | Physician Assistant | 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2014-10-15 |
1588997357 | Amanda C Powers | Physician Assistant | 14418 W Meeker Blvd, Suite 210, Sun City West, AZ 85375-5291 | 2009-09-11 |
1760636526 | Aaron Timothy Clare | Physician Assistant | 14520 W Granite Valley Dr, Suite 210, Sun City West, AZ 85375-5855 | 2008-11-06 |
1225287857 | Jennifer S Gutierrez | Physician Assistant | 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 | 2008-09-18 |
1639225840 | Nicole Leigh Villa | Physician Assistant | 14510 W Shumway Dr, Suite #204, Sun City West, AZ 85375-5814 | 2007-01-28 |
Find all providers in SUN CITY WEST |
City | SUN CITY WEST |
Zip Code | 85375 |
Please comment or provide details below to improve the information on MELISSA CHRISTINE LEBOUTON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.